Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $62.28 / $116.87	Facility		$4.20	$62.28	$116.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.16 / $64.40	Professional		$3.12	$3.16	$64.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $6.95 / $20.35	Facility		$4.70	$6.95	$20.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.57 / $5.53	Professional		$3.13	$3.57	$5.53
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $7.42 / $7.42	Facility		$7.42	$7.42	$7.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $3.13 / $4.44	Facility		$2.96	$3.13	$4.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.13 / $5.01	Professional		$2.96	$3.13	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $3.13	Facility		$2.95	$2.95	$3.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $4.88	Professional		$3.13	$3.13	$4.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $7.55 / $30.39	Facility		$2.95	$7.55	$30.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $11.91	Professional		$3.13	$3.13	$11.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.44 / $4.29	Professional		$2.98	$3.44	$4.29
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.32 / $38.36	Professional		$3.13	$3.32	$38.36